Cycle 1
Health 2025-06-16 · Fire 2025-06-16
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
12 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Phillipsburg, NJ
Lopatcong Center
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
390 Red School Lane, Phillipsburg, NJ
(908) 859-0200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
153
Certified beds
Average residents
129
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1984-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.62
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
2.65
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
52%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,293
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.43
Composite VBP score used to determine payment impact.
Payment multiplier
1.0046
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.44
Baseline 20.94% · Performance 17.52% · Measure score 8.44 · Achievement 8.44 · Improvement 8.24
Healthcare-associated infections
3.61
Baseline 5.55% · Performance 6.76% · Measure score 3.61 · Achievement 3.61 · Improvement 0
Total nurse turnover
8.12
Baseline 44.79% · Performance 30.48% · Measure score 8.12 · Achievement 8.12 · Improvement 6.68
Adjusted total nurse staffing
0
Baseline 3.45 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.23% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 259 · Observed rate 11.58% · Lower 95% interval 8.69% |
| Discharge to community | 57.59% |
50.57%
7 pts better
|
Better than the National Rate · Eligible stays 285 · Observed rate 51.58% · Lower 95% interval 52.82% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 94.47% |
95.27%
0.8 pts worse
|
Numerator 188 · Denominator 199 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 199 |
| Discharge self-care score | 62.86% |
53.69%
9.2 pts better
|
Numerator 88 · Denominator 140 |
| Discharge mobility score | 65% |
50.94%
14.1 pts better
|
Numerator 91 · Denominator 140 |
| Pressure ulcers or injuries, new or worsened | 4.52% |
2.29%
2.2 pts worse
|
Numerator 9 · Denominator 199 · Adjusted rate 5.68% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 181 · Observed rate 6.08% · Lower 95% interval 4.3% |
| Staff COVID-19 vaccination coverage | 0.68% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 146 |
| Staff flu vaccination coverage | 91.43% |
42%
49.4 pts better
|
Numerator 128 · Denominator 140 |
| Discharge function score | 72.14% |
56.45%
15.7 pts better
|
Numerator 101 · Denominator 140 |
| Transfer of health information to provider | 95.24% |
95.95%
0.7 pts worse
|
Numerator 80 · Denominator 84 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 74 · Denominator 76 |
| Resident COVID-19 vaccinations up to date | 23.96% |
25.2%
1.2 pts worse
|
Numerator 23 · Denominator 96 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.1
0.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
93.0%
0.4 pts worse
|
93.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 90.1% · Q3 91.6% · Q4 92.8% · 4Q avg 92.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.9% |
97.2%
2.3 pts worse
|
95.5%
0.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
2.4%
0.8 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.8% · Q3 4.7% · Q4 3.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.1% |
11.4%
3.3 pts better
|
11.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 12.3% · Q3 11.1% · Q4 1.9% · 4Q avg 8.1% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
4.6%
0.6 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.9% · Q3 3.0% · Q4 5.1% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.6% |
19.0%
10.6 pts worse
|
19.6%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 29.2% · Q3 27.2% · Q4 31.1% · 4Q avg 29.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.2% |
13.5%
0.7 pts worse
|
16.7%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 13.9% · Q3 12.8% · Q4 14.1% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.7% |
9.8%
4.9 pts worse
|
16.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 2.9% · Q3 12.0% · Q4 20.3% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.1% |
9.7%
4.4 pts worse
|
14.9%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 14.0% · Q3 7.1% · Q4 11.9% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.7%
0.6 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.5% · Q3 1.4% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
0.8%
0.6 pts worse
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
15.9%
11.9 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 32.0% · Q3 22.2% · Q4 27.4% · 4Q avg 27.8% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.0%
0.1 pts worse
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 6.1% · Q3 5.8% · Q4 8.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.5% |
78.7%
15.2 pts worse
|
81.7%
18.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.6% · Q2 59.8% · Q3 67.7% · Q4 70.0% · 4Q avg 63.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
8.2%
0.1 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 7.4% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.7% |
80.1%
30.4 pts worse
|
79.7%
30 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
25.4%
8.7 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 16.1% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-06 · Fire 2024-02-06
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-11-01 · Fire 2021-11-01
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-16
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-08
F · Potential for more than minimal harm
2025-06-16
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-16
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-15
F · Potential for more than minimal harm
2025-06-16
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-16
K928 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
Corrected 2025-08-09
F · Potential for more than minimal harm
2024-02-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-12
F · Potential for more than minimal harm
2021-11-01
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-12-01
E · Potential for more than minimal harm
2021-11-01
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-12-01
D · Potential for more than minimal harm
2021-11-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-07
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-16
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-08-09
F · Potential for more than minimal harm
2025-06-16
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-08-09
E · Potential for more than minimal harm
2025-06-16
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-09
E · Potential for more than minimal harm
2025-06-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-09
D · Potential for more than minimal harm
2025-06-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-09
D · Potential for more than minimal harm
2024-06-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-31
E · Potential for more than minimal harm
2024-02-06
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-02-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-02-06
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-02-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-02-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-02-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-02-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-12
D · Potential for more than minimal harm
2023-05-22
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-07-17
D · Potential for more than minimal harm
2023-05-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-17
D · Potential for more than minimal harm
2021-11-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-12-01
D · Potential for more than minimal harm
2021-11-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-01
D · Potential for more than minimal harm
2021-11-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-12
Penalties and ownership
What sits behind the stars
Ownership
Genesis Operations Iv LLC
5% Or Greater Direct Ownership Interest · Organization
Aversa, Thaddeus
Operational/Managerial Control · Individual
Berg, Michael
Corporate Officer · Individual
Bridgeford, Laura
Corporate Officer · Individual
Fc-Gen Operations Investment LLC
5% Or Greater Indirect Ownership Interest · Organization
Fishman, Steven
5% Or Greater Indirect Ownership Interest · Individual
Gen Operations I LLC
5% Or Greater Indirect Ownership Interest · Organization
Gen Operations Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare Inc
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ghc Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hccf Management Group Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Mendelson, Avi
Corporate Officer · Individual
Scheier, Barry
Operational/Managerial Control · Individual
Sun Healthcare Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Sundance Rehabilitation Holdco Inc
5% Or Greater Indirect Ownership Interest · Organization
Welltower Op LLC
5% Or Greater Indirect Ownership Interest · Organization
Whitman, Arnold
5% Or Greater Indirect Ownership Interest · Individual
Zac Properties Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Complete Care At Brakeley Park LLC
Phillipsburg, NJ
2-star overall rating with 2-star inspections with $55,647 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Complete Care At Phillipsburg, LLC
Phillipsburg, NJ
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Gardens At Easton, The
Easton, PA
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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